BANCROFT NEUROHEALTH NPI 1720105570

NPI Information

NPI: 1720105570
Provider Name: BANCROFT NEUROHEALTH

Former Legal Business Name: THE WALKER MEMORIAL TRAINING CENTER

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3901 CONSHOHOCKEN AVE
GREENBRIAR - #4311
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 877-2373
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BANCROFT NEUROHEALTH is a community based residential treatment facility, intellectual and/or developmental disabilities in Philadelphia, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BANCROFT NEUROHEALTH NPI is 1720105570. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Walker Memorial Training Center.

The provider's business location address is:

3901 CONSHOHOCKEN AVE
GREENBRIAR - #4311
PHILADELPHIA, PA
ZIP 19131-430
Phone: (215) 877-2373
Fax: (610) 747-0294

The provider's authorized official is Sharon E Williams-taylor .
The authorized official title is Senior Director and has the following contact phone number (610) 747-0290.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 3/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		135180	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========-0035	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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